Failure to Update Care Plan for Hospice Services
Penalty
Summary
The facility failed to ensure that comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment, including both comprehensive and quarterly review assessments. Specifically, the care plan for one resident was not updated to reflect the initiation of hospice services, despite a physician's order for hospice being present in the resident's record. The MDS Coordinator confirmed during an interview that the care plan had not been updated to include hospice care for the resident. The resident involved was an elderly female with diagnoses including severe dementia with behavioral disturbance, Parkinson's Disease with dyskinesia, and dysphagia. The facility's policy required care plans to be reviewed and revised after each significant assessment, but this was not followed in the case of the resident who began receiving hospice services. The lack of update to the care plan meant that the resident's current needs and interventions related to hospice care were not documented as required.